Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model.
Identifieur interne : 000028 ( Main/Exploration ); précédent : 000027; suivant : 000029Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model.
Auteurs : Soter Ameh [Afrique du Sud] ; Francesc Xavier G Mez-Olivé [Afrique du Sud] ; Kathleen Kahn [Afrique du Sud] ; Stephen M. Tollman [Afrique du Sud] ; Kerstin Klipstein-Grobusch [Afrique du Sud]Source :
- BMC health services research [ 1472-6963 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Assurance de la qualité des soins de santé (normes), Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Maladie chronique (), Maladie chronique (épidémiologie), Mâle, Prestation intégrée de soins de santé (normes), Qualité des soins de santé (normes), République d'Afrique du Sud (épidémiologie), Santé en zone rurale, Satisfaction du patient, Soins ambulatoires (normes), Soins de santé primaires (normes), Sujet âgé, Études longitudinales, Études transversales.
- MESH :
- normes : Assurance de la qualité des soins de santé, Prestation intégrée de soins de santé, Qualité des soins de santé, Soins ambulatoires, Soins de santé primaires.
- épidémiologie : Maladie chronique, République d'Afrique du Sud.
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Maladie chronique, Mâle, Santé en zone rurale, Satisfaction du patient, Sujet âgé, Études longitudinales, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Ambulatory Care (standards), Chronic Disease (epidemiology), Chronic Disease (therapy), Cross-Sectional Studies, Delivery of Health Care, Integrated (standards), Female, Humans, Longitudinal Studies, Male, Middle Aged, Patient Satisfaction, Primary Health Care (standards), Quality Assurance, Health Care (standards), Quality of Health Care (standards), Rural Health, South Africa (epidemiology), Surveys and Questionnaires, Young Adult.
- MESH :
- epidemiology : Chronic Disease, South Africa.
- standards : Ambulatory Care, Delivery of Health Care, Integrated, Primary Health Care, Quality Assurance, Health Care, Quality of Health Care.
- therapy : Chronic Disease.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Patient Satisfaction, Rural Health, Surveys and Questionnaires, Young Adult.
Abstract
South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (PHC) facilities in 2011 to leverage the HIV/ART programme to scale-up services for NCDs, achieve optimal patient health outcomes and improve the quality of medical care. However, little is known about the quality of care in the ICDM model. The objectives of this study were to: i) assess patients' and operational managers' satisfaction with the dimensions of ICDM services; and ii) evaluate the quality of care in the ICDM model using Avedis Donabedian's theory of relationships between structure (resources), process (clinical activities) and outcome (desired result of healthcare) constructs as a measure of quality of care.
DOI: 10.1186/s12913-017-2177-4
PubMed: 28330486
Affiliations:
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Le document en format XML
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transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (PHC) facilities in 2011 to leverage the HIV/ART programme to scale-up services for NCDs, achieve optimal patient health outcomes and improve the quality of medical care. However, little is known about the quality of care in the ICDM model. The objectives of this study were to: i) assess patients' and operational managers' satisfaction with the dimensions of ICDM services; and ii) evaluate the quality of care in the ICDM model using Avedis Donabedian's theory of relationships between structure (resources), process (clinical activities) and outcome (desired result of healthcare) constructs as a measure of quality of care.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li></country><region><li>Gauteng</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Ameh, Soter" sort="Ameh, Soter" uniqKey="Ameh S" first="Soter" last="Ameh">Soter Ameh</name></noRegion><name sortKey="G Mez Olive, Francesc Xavier" sort="G Mez Olive, Francesc Xavier" uniqKey="G Mez Olive F" first="Francesc Xavier" last="G Mez-Olivé">Francesc Xavier G Mez-Olivé</name><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><name sortKey="Klipstein Grobusch, Kerstin" sort="Klipstein Grobusch, Kerstin" uniqKey="Klipstein Grobusch K" first="Kerstin" last="Klipstein-Grobusch">Kerstin Klipstein-Grobusch</name><name sortKey="Tollman, Stephen M" sort="Tollman, Stephen M" uniqKey="Tollman S" first="Stephen M" last="Tollman">Stephen M. Tollman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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